As of July 2013, we moved to an in-house 24/7 attending coverage system. Residents remain in charge of imaging workflow, including consultation, triage and preliminary interpretation and dictation of all imaging studies. The attending radiologist takes a secondary role, allowing the on-call resident to gain autonomy and independence. All studies, which are preliminarily interpreted by the residents, are reviewed by the on-site attending radiologist, allowing instantaneous feedback and teaching.
The Night Float rotation lasts for two weeks. Residents work in the HAC Emergency Radiology room Monday through Friday, with a required Saturday night off. Another resident covers Saturday nights. Each resident typically has a total of 11-12 weeks of Night Float, beginning in the middle of second-year.
Two night residents are present. The early night float resident works from 5:00 P.M. to 4:00 A.M. The late night float resident works from 9:00 P.M. to 8:00 A.M.
Taxi vouchers and security escorts are available to all residents starting or ending their shifts during late hours.
HAC Evenings & Weekends
One “On-Call” resident covers Emergency and Inpatient Radiology weekdays from 5:00 P.M. – 9:00 P.M. Two night float residents are scheduled as above, covering from 5:00 P.M through 8:00 A.M. On Saturdays and Sundays, resident shifts are 8:00 A.M. – 5:00 P.M. and 11:00 A.M. – 9:00 P.M. No resident is assigned to Emergency Radiology for more than 12 consecutive hours. Duties include interpreting and dictating emergency and trauma studies, inpatient studies, and coordinating special studies. This experience provides intensive exposure to radiologic diagnosis and management of the acutely ill and traumatized patient.
Residents on duty at HAC Emergency Radiology provide preliminary interpretations for all off-hours plain film studies performed at the BVAMC via the teleradiology system. Cross sectional VA studies are covered separately by a teleradiology service.
The two Vascular/Interventional residents alternate carrying the “on-call” beeper, typically one week at a time. Resident duties include evaluating the Special Procedure request, conferring with the faculty radiologist, and, if indicated, performing the off-hours vascular and interventional cases with the faculty.
First-year residents are exposed to evening call on a “buddy” system beginning late in the first year. Early second year, these residents begin HAC Evening “On-Call” shifts from 5:00 P.M to 9:00P.M.